This guide explains how Level-III training is organized day to day under the PPM 2024: how long it lasts, who supervises you, and what happens at the end.
Duration and yearly extension (Clause 7.1)
- Total duration is four to five years, as required by your Degree Awarding Institution (CPSP or university).
- Training is first granted for one year and then extended every year.
- Each year, the Head of Institution recommends the extension and sends it with your annual performance report. Extensions are processed through the portal (Clauses 7.2.2, 7.2.3).
- Stipend is capped at four or five years from day one of your first induction (Clause 7.2).
Who can be your supervisor (Clause 6.6)
- Only an Assistant Professor, Associate Professor or Professor can be a supervisor.
- The supervisor needs five years of teaching experience, with at least three years after post-graduation, and must meet the requirements of the CPSP or university.
- Each faculty member gets at least one trainee per induction, and the HOD at least two (Clause 6.7).
Committees inside your hospital
- Program Director: the Professor / HOD of each specialty (Clause 6.20).
- Program Faculty Committee: all supervisors of the specialty. It allocates trainees to supervisors and looks after training, research, counselling, internal exams, discipline and monitoring (Clauses 6.20, 6.22, 6.31).
- Institutional PGME Committee: all Program Directors of the institution. It advises on academic, administrative and disciplinary matters, makes sure the curriculum is followed, and manages morning, evening, night and on-call duties (Clauses 6.21, 6.23, 6.24).
What your DAI provides (Clause 6.18)
- Scheme of the program with rotations, courses and exams
- Curriculum / training manual
- Log book / portfolio
- Technical requirements and research responsibilities
Three-month DHQ / THQ rotation (Clause 6.35)
- During the last two years of training, trainees are posted for three months to a non-teaching DHQ or THQ hospital, in a department where a consultant of their specialty is available.
- The consultant there acts as co-supervisor after training arranged by the DAI.
- The DHQ / THQ hospital arranges boarding and lodging.
- SHC&ME notifies the clusters of teaching hospitals and DHQ / THQs for these rotations.
Welfare
- Heads of institutions must ensure proper medical care for trainees, and Universal Health Coverage is available with choice of place of treatment (Clause 6.44).
- No official accommodation is provided; House Rent Allowance is paid as admissible (Clause 7.5).
When training ends
- All trainees, on stipend or as Medical Officers, must leave the training slot when the tenure is complete, whether or not they have passed the final exam (Clause 6.37).
- Time spent in PG training is not counted as job experience (Clause 6.43).
- A doctor who has completed one Level-III training at government expense cannot apply for another Level-III training (Clause 6.41).
- Deputationists must serve the government for at least three years after training (Clause 7.8).
Read more PPM rules
- PPM 2024: all rules of Level-III training
- Stipend and deputation rules
- Leave rules
- Termination and discipline
Applying for the January 2027 intake? See the December 2026-Jan 2027 Induction page for the policy, merit criteria, CIP calculator and seat distribution.
Source: Policy and Procedure Manual (PPM) of Post-Graduate Residency of Level-III Programs, SHC&ME Department, notified 15 May 2024, Clauses 6.6 to 6.7, 6.18 to 6.24, 6.35, 6.37, 6.41, 6.43, 6.44 and 7.1 to 7.5. Download the PPM (PDF). Always check the latest notification of the SHC&ME Department and the rules of your Degree Awarding Institution.
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